| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.36 | $49.83 | $49.83 | |
BCBS
| Professional | $15.63 | $15.63 | $15.63 | |
Cigna
| Facility | $9.63 | $16.80 | $16.80 | |
Cigna
| Professional | $9.63 | $13.65 | $16.80 | |
Providence
| Facility | $7.44 | $16.01 | $16.80 | |
Providence
| Professional | $9.63 | $12.61 | $16.80 | |
United
| Professional | $6.02 | $6.66 | $10.26 |